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Individual

JULIE LARAE HEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2334 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-7256
(918) 213-4619
Mailing address
2334 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-7256
(918) 213-4619

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114642
OK
363LF0000X
Family Nurse Practitioner
75435
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200736130A
KS
Enumeration date
07/22/2011
Last updated
11/17/2021
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